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PREMIER SURGICAL PAVILION, LLC
NPI 1538466453
Clinic/Center - Ambulatory Surgical in Newark, NJ

Active since February 13, 2011
145 ROSEVILLE AVE, NEWARK, NJ 07107(201) 488-2101(201) 488-3929 Get Directions Write a Review

NPPES record last updated: May 11, 2012. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Premier Surgical Pavilion, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PREMIER SURGICAL PAVILION, LLC (NPI 1538466453) is a healthcare organization registered as an ambulatory surgical in Newark, New Jersey and active in the NPI registry since February 2011. The organization lists Michael Eugene Jones, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1538466453
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NamePREMIER SURGICAL PAVILION, LLC
Location Address145 ROSEVILLE AVENewark, NJ 07107-1618
Mailing Address115 E 39th StNew York, NY 10016-0943 · (212) 223-0716 · Fax (212) 223-0857
Phone(201) 488-2101
Fax(201) 488-3929
Organization SubpartNo
Authorized OfficialMichael Eugene JonesMedical Director · (212) 223-0716
Enumeration DateFebruary 13, 2011
Last NPPES UpdateMay 11, 2012
✔ NPI 1538466453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
License✔ Licensed in NJ · 70781
145 ROSEVILLE AVE, Newark, NJ 07107
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Other Identifiers 1

Other31C0001004NJ · Ccn

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEXINGTON FOOT AND ANKLE CENTER PC
Clinic/Center (Ambulatory Surgical)
145 ROSEVILLE AVE
NEWARK, NJ 07107
Essex County (201) 488-2101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Premier Surgical Pavilion, LLC's NPI number?

The NPI number for Premier Surgical Pavilion, LLC is 1538466453. It was assigned to this organization in the NPPES registry on February 13, 2011.

Where is Premier Surgical Pavilion, LLC located?

Premier Surgical Pavilion, LLC is located at 145 Roseville Ave, Newark, NJ 07107. The listed phone number is (201) 488-2101.

What is Premier Surgical Pavilion, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Premier Surgical Pavilion, LLC was last updated on May 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.